HIPAA-compliant · Licensed chiropractor network
Get connected with a licensed chiropractor after an auto accident
A short, secure form connects you with a licensed chiropractor in your area for a complimentary evaluation — no cost, no obligation.
How it works
1
Tell us what happened
Answer a few short questions about the accident and how you're feeling — takes about two minutes.
2
We match you with a local chiropractor
Your information routes to the licensed chiropractor serving your ZIP code.
3
They reach out to schedule
A licensed chiropractor in your area contacts you within 2 business hours to schedule a complimentary evaluation.
⚠️ Not medical advice. This form helps you connect with a licensed chiropractor. It does not provide a diagnosis or medical recommendation. If you are experiencing a medical emergency, call 911 immediately.
Looking for a chiropractor's evaluation form? Use the link your provider shared with you, or the form embedded on their website.
Chiropractors — join the network
Start receiving auto-accident patient referrals in your territory, starting at $150/month.
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Exclusive territory
One practice per ZIP code — no competing for the same lead.
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Embeddable intake form
Drop one script tag on your site and start receiving referrals.
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HIPAA-compliant portal
Encrypted records, audit logging, and a compliant BAA on every account.